Individual
DR. JILL S WALDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1130 SW MORRISON ST, 619 & 630, PORTLAND, OR 97205-2234
(971) 256-2314
(503) 841-5389
Mailing address
1130 SW MORRISON ST, SUITE 619 & 630, PORTLAND, OR 97205-2234
(971) 256-2314
(503) 841-5389
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
2703
OR
103TC2200X
Clinical Child & Adolescent Psychologist
2703
OR
Other
Enumeration date
08/13/2008
Last updated
06/14/2016
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